Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $100.00 / $295.12	Facility		$22.91	$100.00	$295.12
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $72.44 / $102.33 / $630.96	Facility	CO	$72.44	$102.33	$630.96
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $114.82 / $169.82 / $269.15	Facility	CQ	$114.82	$169.82	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $24.55 / $72.44	Professional		$19.05	$24.55	$72.44
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	CO	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $44.67 / $46.77 / $85.11	Professional	CQ	$44.67	$46.77	$85.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $23.99 / $42.66	Professional		$17.78	$23.99	$42.66
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $42.66 / $42.66	Facility		$21.38	$42.66	$42.66
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $63.10 / $63.10	Professional		$24.55	$63.10	$63.10
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $34.67 / $40.74	Facility		$29.51	$34.67	$40.74
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $70.79	Professional		$30.90	$33.88	$70.79
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $141.25	Facility		$52.48	$64.57	$141.25
Cigna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $61.66	Professional		$25.12	$39.81	$61.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $75.86 / $125.89	Facility		$43.65	$75.86	$125.89
Medical Mutual of Ohio Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $36.31 / $58.88	Professional		$21.38	$36.31	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $26.30 / $31.62 / $34.67	Professional	CQ	$26.30	$31.62	$34.67
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $32.36 / $33.11	Professional		$22.91	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $35.48 / $52.48	Professional		$27.54	$35.48	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $30.20 / $35.48	Facility		$25.70	$30.20	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $29.51 / $40.74	Professional		$22.39	$29.51	$40.74

Ohio rates for HCPCS 97535